Case Study: Skynet cuts healthcare costs with Gigasheet price transparency data

Skynet uncovers 5-figure maternity rate swings with Gigasheet

The customer, Skynet, is a fictional self-insured employer based in Boise with approximately 450 employees. Their challenge was to identify healthcare cost savings opportunities within their self-funded plan by benchmarking contracted rates for high-utilization services like maternity and pediatrics without relying on slow and sensitive claims data. They partnered with the vendor Gigasheet to utilize its processed payer machine-readable file (MRF) data and analysis platform.

Gigasheet provided a solution by loading and enriching statewide payer data, enabling Skynet to benchmark rates across different payers and providers. The analysis revealed dramatic price variations for the same services, such as five-figure swings for childbirth deliveries and a wide range of prices for pediatric visits. This allowed Skynet to identify high-value facilities, spot potential claim errors, and gain the insights needed to negotiate better rates, design smarter networks, and implement member steerage programs, ultimately leading to significant healthcare cost savings.

Skynet